NPIMap

Organization Active NPI

Sami F. Yasin MD PC

  • Infectious Disease Physician
  • Wantage, NJ
National Provider Identifier
1083633135
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA05330800 Issued in NJ
Legal business name
SAMI F. YASIN MD PC
Practice address
199 State RT 284
Wantage, NJ 07461-3417
Phone
(973) 875-7121
Fax
(973) 875-7123
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sami Yasin, MDNPI 1316007651
Title
President of Corporation
Phone
(973) 875-7121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 197792-1 NY
Infectious Disease Physician 207RI0200X 4301087529 MI
Infectious Disease Physician 207RI0200X 25MA05330800 NJ Primary

Addresses

Primary practice location

199 State RT 284
Wantage, NJ 07461-3417

Mailing address

199 State RT 284
Sussex, NJ 07461-3417
Phone (973) 875-7121

Other identifiers 2

IdentifierTypeStateIssuer
1054395OtherNJHORIZON MERCY
01496762MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083633135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 STATE RT 284",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074613417",
            "telephone_number": "973-875-7121",
            "fax_number": "973-875-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 STATE RT 284",
            "city": "WANTAGE",
            "state": "NJ",
            "postal_code": "074613417",
            "telephone_number": "973-875-7121",
            "fax_number": "973-875-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMI F. YASIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "973-875-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "197792-1",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301087529",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA05330800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY",
            "identifier": "1054395",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01496762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantage, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.